CAJ | 학술논문

目的：观察麻杏化瘀汤加减治疗痰热闭肺型小儿肺炎喘嗽的临床疗效。方法：将120例患儿随机分为对照组和治疗组各60例，对照组采取西医常规治疗，治疗组在对照组治疗的基础上加用麻杏化瘀汤治疗，对2组治疗方法、临床症状和体征改善时间等相关内容进行观察。结果：治疗组治疗小儿肺炎喘嗽的总有效率高于对照组(P＜0.05)；2组症状总积分治疗前后组内比较差异有统计学意义(P＜0.05)，治疗后治疗组与对照组组间比较差异有统计学意义(P＜0.05)。在咳嗽、气促、发热、肺部啰音消失方面，治疗组优于对照组(P＜0.05)。结论：麻杏化瘀汤加减联合西医常规治疗痰热闭肺型小儿肺炎喘嗽效果优于单纯西医常规治疗。
목적：관찰마행화어탕가감치료담열폐폐형소인폐염천수적림상료효。방법：장120례환인수궤분위대조조화치료조각60례，대조조채취서의상규치료，치료조재대조조치료적기출상가용마행화어탕치료，대2조치료방법、림상증상화체정개선시간등상관내용진행관찰。결과：치료조치료소인폐염천수적총유효솔고우대조조(P＜0.05)；2조증상총적분치료전후조내비교차이유통계학의의(P＜0.05)，치료후치료조여대조조조간비교차이유통계학의의(P＜0.05)。재해수、기촉、발열、폐부라음소실방면，치료조우우대조조(P＜0.05)。결론：마행화어탕가감연합서의상규치료담열폐폐형소인폐염천수효과우우단순서의상규치료。
Objective:To investigate clinical effects of modified MaXing HuaYu Tang in treating children with pneumonia-induced asthma and cough of phlegm-heat obstructing lung pattern. Methods: All 120 children were randomized into the control group and the treatment group, 60 cases each group, the control group received routine treatment of western medicine, the treatment group took MaXing HuaYu Tang on the basis of the therapy received by the control group, therapeutic method, clinical symptoms, the improvement time of body signs were observed in both groups. Results: Total effective rate of the treatment group was higher than that of the control group in the treatment for children with pneumonia-induced asthma and cough (P<0.05);there was significant difference in total scales of the symptoms between before and after treating within one groups(P<0.05), there was significant difference between the treatment group and the control group after treating (P<0.05), the treatment group was superior to the control group in the cough, panting, fever and pulmonary rales disappearing, there was significant difference between both groups(P<0.05). Conclusion:Therapeutic effects of modified MaXing HuaYu Tang are superior to only conventional treatment of western medicine in treating children with pneumonia-induced asthma and cough of phlegm-heat obstructing lung pattern.